Friends & Family Test

1
Friends and Family Test

We would like you to think about your recent experiences of our service. How likely are you to recommend our GP practice to friends and family if they needed similar care or treatment?

2
Comments

Further Comments: ( Please note any additional comments you feel could help us to improve the service we offer to our patients)

If you have provided comments and would not like them to be published tick the following box.

3Additional Questions

Thinking about your response:Thinking about your response to this question, what is the main reason you feel this way?

Privacy Protection

We use the information entered into this form only for the purposes of processing your Friends & Family Test submission.
Information entered into this form is stored and accessed securely by designated Practice staff.

Issues raised in comments may be discussed between relevant members of the Practice.
The information is used for quality monitoring purposes, in line with the expectations of the patients submitting
the feedback.

The form does not require personal information. Any personal information transmitted via this form may be anonymised
by the Practice when this is required to ensure compliance with General Data Protection Regulation.

All submissions are collated and sent to NHS England.

This information is kept for as long as the site is active or it is deleted by a site administrator.

I consent to my information being used for the purposes described above and wish to submit this online form toSimmondley Medical Practice
•
15A Pennine Road, Simmondley, Glossop, Derbyshire, SK13 6NN.

Learn more about our Privacy Policy and
Terms of Use.
Should you have any concerns about sending your personal details using the web,
please use one of the alternative methods offered by our organisation.